A new paradigm for adult ADHD: A focused strategy to monitor treatment

Manos, Michael J.; Short, Elizabeth J.

doi:10.3949/ccjm.90a.22080

Cited by 2 publications

(2 citation statements)

References 18 publications

(21 reference statements)

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“…Epstein et al (2016) have emphasized the value of close monitoring of individuals being treated for ADHD with stimulants, and guidelines are emerging for assessment and treatment of ADHD in adults (Asherson et al, 2022), although best methodology for follow-up has not been established. For adolescents and adults, difficulties with sustained attention and distractibility would seem to be an excellent target for monitoring stimulant treatment, since it typically is a major concern after puberty (Manos & Short, 2023; Williams et al, 2023). Although questionnaires can be helpful, they are not objective and probably are best utilized with both self-report and observers such as teachers or work supervisors.…”

Section: Introductionmentioning

confidence: 99%

An Objective Assessment of Effect of Stimulants on Attention in Individuals With ADHD

Elliott,

Diner,

Sitbon

2024

J Atten Disord

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Introduction: Currently, assessing ADHD treatment response to stimulants relies on rating scales and subjective questionnaires and sometimes a CPT. Such tools fall short of objective, quantifiable measurement of effect, especially in natural settings and can result in inconsistent treatment. Method: We report results from two studies using a novel proof-of-concept approach. A preliminary trial of 10 individuals used a high-fidelity eye tracker; a second study of 100 individuals used webcams at the participants’ homes. Results: Both studies evaluated stimulant effect using reading behavior analysis, being an ADHD symptom that stimulants affect and a major symptom patients want to improve. Both showed a significant change in reading behavior related to medication state, suggesting a clear, objective measure of stimulant effect. Conclusion: Using ubiquitous hardware, investigators created a user-friendly treatment assessment platform where individuals can collect their own objective data within minutes in any setting where they have access to a web camera and computer.

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Section: Introductionmentioning

confidence: 99%

An Objective Assessment of Effect of Stimulants on Attention in Individuals With ADHD

Elliott,

Diner,

Sitbon

2024

J Atten Disord

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confidence: 99%

A new paradigm for adult ADHD

Modesto-Lowe,

Frigon

2023

CCJM

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To the Editor: Adults with attention defi cit hyperactivity disorder (ADHD) experience sustained attention defi cits manifested with accompanying diffi culties completing tasks. 1,2 While ADHD symptoms cause signifi cant impairment, many affected adults remain untreated. 1 Efforts to improve recognition and management include the development of ADHD symptom scales for screening and treatment monitoring of these patients. 1 In the recent commentary by Drs. Manos and Short, 2 task incompletion is regarded as the primary dysfunction in adults. Accordingly, the authors suggest that task completion should be used as a measure to track pharmacologic therapy response in these patients. This is conceptually plausible since several adult ADHD diagnostic criteria relate to task completion, eg, "reluctance to start or to persist with tasks requiring sustained mental effort." 3 Clinical assessments to help evaluate task completion diffi culties include the use of continuous performance tests (CPTs), which can measure attention and require the individual to respond to targets (a measure of attention) and to inhibit response to non-targets (a measure of impulsivity). 4 Marchetta et al 5 found a deterioration of timeon-task in adults with ADHD relative to controls. Babajanyan et al 3 noted 3 patterns that decreased task completion. These patterns included complete lapses in attention, partial attention to a task, and engaging in multiple tasks. However, disagreement exists on whether the ability to stay on task as measured by CPTs can accurately refl ect the severity of ADHD. Baggio et al 6 examined CPTs as a marker of adult ADHD presentation and severity and reported small correlations

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A new paradigm for adult ADHD: A focused strategy to monitor treatment

Cited by 2 publications

References 18 publications

An Objective Assessment of Effect of Stimulants on Attention in Individuals With ADHD

An Objective Assessment of Effect of Stimulants on Attention in Individuals With ADHD

A new paradigm for adult ADHD

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